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1528407517
JASON LEE MILLER
PHOENIX, AZ
NPI
1528407517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: AZ 9651)
Additional Taxonomies
122300000X Dentist
(Licence: TN 9684)
Enumeration Date
2013-06-23
Last Update Date
2017-02-08
Business Address
DR. JASON LEE MILLER DMD
10621 N 35TH AVE
PHOENIX, AZ 85029-4260
Phone number: 208-251-5309
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Mailing Address
DR. JASON LEE MILLER DMD
8357 SALMONBERRY
HAYDEN, ID 83835-5078
Phone number: 208-251-5309
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